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HomeMy WebLinkAboutBldg Permit 04-0419 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT '''OJ PIl/O-ll,. ,.. " - ~ v '" +'IVNESO'\'" I White 2. Pink 3 Yellow File CIty Applicant I PERMIT NO. 04-. 04/Q I " ZONING (office use) ~~;ri~;rV'i.I~\l~rt~~ C)tic.~) ;).W. I f/l.i~1t ~t-4:.; IlrIU ~~?"2.. LEGAL DE~CRIPTION (office use only) LOT 6B~OCK~ ADDITION W , '- 1> S ~ 711 - OWNER (Name) ~UrN ~ (Address) A B I E V M 4 II F I III IV H I 2 3 (Phone) Date Rec'd Lj- ;)(;-01.,/ el PIDl5.382. (3Z.. 0 ~c:l1tp~e) ~ ~/- 3'22- ~/Lfo D (PhOne)~. 2 '2 ~ I),>~ I ~~A~;tJr)AhJ ~a6:9 ORe-Siding DLower Level FiOlSh A R 5 B S U PROJECT COST IV ALUE $ (excluding land) o Fireplace ~/)B, ~ hlrnished information on this application which is to the best of my knowledge true and correct. I also certify that i am the o......ner O( authOrized agent for the nd (hat all construction will conform to all existing state and local laws and will proceed in accordance with submitted ~' 1 am alre that the buildmg It for ust cause Furthermore, I hereby agree that the City Off~~lq \:(~er upon the property to perform;,. V[n,~ "1 Signature Contractor's License No Date BUILDER AJ 'j) _ , (CompanYName)'''Ill1I-l$~01' ~W..A!; (ContactN~me) ~Mt7t~'L.,,>'i\"\40r- i sr n .1.,... (Address) ? <;'').0./ ) S , - i~ ,,0, IN a <;; J : TYPE OF WORK ~New Construction ODeck OPorch ORe-Roofing , OAddition OAlteration DUtiJity Connection 0 Misc. i CODE: OJ .R.C. OI.B.C. Type of Cor stIUction: Occupancy I iroup: Division: x .., 'fp 2 78. (JtJO. Ot) $ Zt'Z.I. so $ /31Y.'1K $ /;3'1.00 $ $ $ $ I Permit Valurtion 1 Permit Fee I Plan Check)Fee I State Surchtrge I Penalty I Plumbing Ifrmit Fee I Mechanica~ Permit Fee \ Sewer & Wiater Permit Fee \ Gas Firepl1ce Permit Fee ! This Applifation Becomes Your Building PemUt When Approved ~ 1~ 5/;ofi'l !luildl1lg omcial Date I $ !CO.{)t:J /00.00 JS.t;;D 4o.()o I Park Support Fee I SAC I Water Meter Size 5/Sr.f!;/) I Pressure Reducer \ Sewer/Water Connection Fee \ Water Tower Fee I Builder's Deposit I Other I TOTAL DUE I Paid I Date ~ rr<1. YIf .~_ /I. /lit-- # # # # $ 'i?SO. f) 0 $ /3'SO ,00 $ 60",00 $ 7CJ,oo $ /ZOO.DO $ 7tJo. 00 $ /5"OO,{)O $ $q fM4-.CJf3 "' l~iP(}Jo. ;;H, 9L<J By --r--...... (f~ ThIS IS to certify that the request in (he above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as r uested, This document. -- when signed by the City Planner constttutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Ccruflcat of Occupancy mllst be i~lannin~iU-- 5/;~'i A~ (i""I;,,;.;c:::!::u..y 24 hour notice for all inspections (9::12) 447-98::10. fax (9::12) 447-424::1 16200 Eagle Creek Avenue Prior Lake. MN 55372 .~~ u~~ './ The- ('~nlrr of lh~ 1...1<' COP,,''''' I White - Buildina '--Wq~ru . EnaineerinC\) Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST , NA~E OF APPI,JCANT APP L1CATION RECEIVED /'-I! I I SL-::TI-\S Dl- 4-. Z Cj, c tJ- ThelBuilding, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , 3 I 13 9 F2 uvS C c'lfcc--LE;'-1 VI.) Acqepted )( Accepted With Corrections , Depied ReViewed By: , Comments: ~e Reverse ~irlp. for Addition::>llnform;:Jtionl /Yf} Fe, --. Date: S - '1-oL/ , ~ee Attacntnent!':. 1) Grac1inj? Phn ?\ Frn!':inn Control Mea!':ures r'The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction, Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid," C\(j~X PRfO.:s, <: &OV ~~. White - Building Canary - Engineering .--PinK _ - t"'lann~ - Th~ C~n ~r nf ,h... 1..11... Coun...,.. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NII.ME OF APPLICANT AfPLlCATION RECEIVED I ti ITTCL---Thl D\ Lj-. Z.- (L;- Tile Building, Engineering, and Planning Departments have reviewed the building permit arplication for construction activity which is proposed at: \ i i.:-~ /"/1< C 'v /. t...' i!(" LE 1'" \) A( cepted Accepted With Corrections /' DE onied R<;viewed By: ~ ~~ - :p ,/Jt...; dJ Date: ff/Jt?"-& r/ , Cc mments: ; "The issuance or granting of a permit or approval of plans, specifications and cor lputations shall not be construed to be a permit for, or an approval of, any violation of an} of the provisions of this code or of any other ordinance of the jurisdiction. Permits pre ,uming to give authority to violate or cancel the provisions of this code or other ord nances of the jurisdiction shall not be valid." i ~---- '~~ PRIO!,' <' -'. ' & ~?; --~ lh~ C~nl~~ nf lh~ I._h Countr}. cWhite - SlJildiii:> Canary - I::ngineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST Nf.ME OF APPLICANT A~PLlCATION RECEIVED 11 I I I t:k.STh-SDT 4--. ZJ1. 04- , T~e Building, Engineering, and Planning Departments have reviewed the building permit a~plication for construction activity which is proposed at: ~ 3113 E7r<OLJ5b ~1t0c.{E /'J1Al I A~cepted D~nied ! R~viewed By: , Cbmments: Accepted With Corrections / ~~ ,.e-U-d ~~ a.d ~~ Date: sholot/ , , . "the issuance or granting of a permit or approval of plans, specifications and cpmputations shall not be construed to be a permit for, or an approval of, any violation of ainy of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please me qr tJrint and sie:n at bottom) ADDRESS 3113 GROUSE CIRCLE ; ~.:. ~::y I PERMIT NO. ~ ,_, j J to 3_ Yellow Applicant '-I ~ '-f..LJ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT ~LOcK ADDITION I OWNER I (Name 1Y(ITTELSTAEDT EROS I (Address) i PID (Phone) APPLICArT (Name) ! ALLIED RT"Q'HSTDE DBA FIRFsrnF HP.ARTH & HOME (Phone) 651-1i:l:l-2561 (Address) 2700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLF (City) 'i5113_ (Zip Code) (Contacr P~rson) BRENDA HUSTON (Phone) _651-633-2561 APPLIcAJIH SIGNATURE BRENDA HUSTON DATE /iI.'lO/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACEIMAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants DGravity D Mechanical DAir Conditioning DVen!. System D Steam D Hot Water D Radiation D Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACB MAKE AND MODEL HEAT N GLO 6000TR-OAK Industrial, C9mmercial & Multi-Family Residential, IiIeating & Ale (New Construction) Residential, :meating Only (New Construction) FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 Residential, Additions & Alterations Residential, AC Only Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ ~~ ~ ~~ ~-m ReceIpt No. '11',,"L "O{ll J" 24 hour notice for all inspections (952) 447-~~.Jax ~QcJ) .M-, 'r':r .50 $39.50 $39.50 l~t" ~,;:,., '-<.!;1~t.,.>~ ;!,,()"@<V'" ..../tct'\llo.,"'..I.I":/' 1_..... ~ .....:'~ "-"''''''.''''' ....v/,.... ,,:.;.,.... (Office Use O.ly) This Application Becomes Your Building Permit When Approved B~i1din2: Official Date r1--- () , , -~-----_.._~._---.._---- ~~----"-------'~"'-.--- . Jun 17 04 08:22p Emil~ Radant 08/18/01 WED LS:48 PAl 8124.742.~ v... -. 651-451-4809 p.1 Date Ree'd CITY OF P'tlOR. LAKE PLUMBING PERMIT t a S- I PEllMlT NO. U'etl f1 tflll!8~~. areftllfUNlaiaalbom:Jm) I' '1D.RFt~ '. . J/i/3_ _f!~~..._J-i!-~~P(,/ei2 I LEGALPBSC1UP'l10N 1- ...0DIy) LOT{~ BLOCK) AL.....u,vN W ~~~h {"ke. z....~..;{........, I . -..J So.J\t-- ~':.:M,++e .~('+n PIH rwlJ.lI'k:\ ~Htlm..:;Ii (Phone) k2i-2, 27-l{j~() ~ .'2-5 w - Is l'0 (~J.l;l1I--\ '~f"Yl~.ud-, Yn^J .):1 uloQ' .- 1- =~ d.%r+ f) PIU/1:1hi Vl 0 ~Jira.~ (phone) ifi\1- L\Rtl-' \ 95 (A~..) .~'llr 0 ls'6n q(CL{~~'''~\~+;~r.zO '\ YY1r~J ~32::, '(~) UCity) (Zip Coda) (Con~penon).&n Kn ~ ().. ~t_ (Pbone) )nr::; I-;J Y2 - 7'-.07 C) APPUJANTSIGNATlJRE $,.,-..J::.;J{,.<-:J::- . OhTE..5J IJ ID4=___.__=-- APl'L!C:i.l' , r PLEASE COMPLltTE BELOW I l'ype ofFixtlor. I Qaantity Type orFixtlln Bath Tub with or without oh""" " I ~ RoIIg1>-in. I DishwaSher Ii' Wsw H_ Floor Diiin I '() I Waler Soltner I Lan/l:llY (Bathroom Sink) !\ Stand PijlC (WashiDg MaGhIne) ~ fray {l Or 2 com;JO:ltr:<li:lt sin!: (\ Sewage ej~r Shower Stan . I Bilckflow AsSembly ::~l< ') I ~::::~:blY.Test I Water Clooet (Toilet) I) I Other PlD Qu,tlty -7j I iU I i 1 " I 'D I , "I, l'EE S_"",- ULJ: lo""",,,iDL c." . ..;01.1. u"lti-fsmlly l'lloofjob .:,:.". ,lth. 539.50..1.......... 'RAidaltlol, N_o....I. Two-flll111y $99.SO RoabIcnIIllI. Addltloos &. Alu:n.tioos $39.SO Est_ CD$t $ llIJikliDc I'onnit # (O&O~.. 00IJ) nill~PJI"'."" __1ro.rBulldiAgP"mJ 'V.'heaApproved PLUMf:,NGPERMrrFEE S STATE:TJIl.CHAIlGE S TOT,U, I'i'.JRMlTFU S .50 a.Uln. tMIkiIIt r rEi fE n lI] u "r'" " No.. _.,~ it-;; . J~:; 2:-31 (1/ -:;- J4~."r_o: 10' '11."'....-..(951)"'-91 (lISl)"7-4U!l '_~.: ~ (j By .~~.~~. " .-~.:~ 7~11 .,~,'. ~~ ~(/!'9'~O' ~~:~"mG/AIR CONDITIONiNGtFWPLACE PE;;';' +INffE 5 0"'" 0925 # 2/ -...."'......-.... 3 311~ Gv()( L[)J) o (' 'l. '1-L0 Q~ , ZONING (offic~use) I ~ ~ I L ~ [: ;~:. ~:~ I PERMIT NO. ~ 1_1U6 ) Yellow Applicant 'IIIf' .", II q:tlease!VD!: or Drint and sim at bottom) ADDRESS LEGAL DEScjRJPTION (office use ooly) 'I 'I I. LOT ADDITION PID BL9CK ~":e~R \'Y\!;+klS-l-rH rl:+ .RnD. (phone) (Address) APPUCANT (Name) (phone) (Address) Burnsville Heating & NC, LLC o1'lAO" Ch,...r!p 11I:t1:mrl AVA Sn_ -S';vage, MN !Se~~122 (city) (Zip Code) (Contact Person) APPUCANT SfGNATURE (Phone) DATE . APPLICANT PLEASE COMPLETE BELOW ~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACEMA~EANDMODEL \ o "'''V\)( r:.C,JIv1 OL\RCoS'o FUEL!... lcd (,(v'J FLUE SIZE RETURN OPENINGS \ :J INPUT q () . (rn OUTPUT K'd.. xtX) TYPE OF SYSTEM HEATING OR POWER PLANT OWann Air Plants 0 Steam OGravity 0 Hot Water o Mechanical 0 Radiation OAir Conditioning 0 Special Devices OVent. System 0 Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks .~ i '" I FIREPLACE MAKE AND MODEL ----- --- ~_.- ._--- Industrial, Commerqial &. Multi-Family Residential, Heating! & NC (New Constnlction) Residential. HeatinglOnly (New Construction) FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 I ~ ",' f'.t:;, '.'ill Resident~ll Additions & Alterations Residential. AC Only 139.50 $39.50 Estimated Cost $ Building Pennit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ \/ /\ .50 ~ Orkr -:Pl' 0 O~ .--p~s, . I'J [Office Use Only) ."~ This Applicatio. Becomes Your Building Permit When Approved ~ l~ l E lilY ~ \ \ Buildine Omti.1 24 hour notice roc :':::speCtions (952) 447-9 ~:~~~Z):~-4~~4 "-' y 16200 Eagle Creek Avenue, Prior Lz~ 55372 eceipt No. 01 v ., 1 H <::v. i~ 1 ~ .i....- o PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 3/13 Gaou.~~ c.irtGLE rJ.w. NATLIRE OF WORK ~EU af\.1~I2.I~jllto.) USE :>F BUILDING /S. i=:" b, PERr~IT NO. 04-.64-/CJ / DATE ISSUED -5 la 104 CONfRACTOR ~f"' "&eor.~. PHO-JE~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW . THE PERMIT IS BY SEPARATE DOCUMENT ~~OR (.dd-- lJ7)j , FOlNDATION (Prior to Backfill) I VViS ~'.2 ~ I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS $ C;~ r)'-.t) DATE I FOQTING -. I~ I SEYfER I WATER I SEPTIC FR~MING INSlI.ILATION ELECTRICAL PLU MBING I HEA riNG (if required) I FIREiPLACE I I GAS LINE AIR TEST . "'~ ffJ ~'^"\' V I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED lJ.A1fE./W"(C~~IJ.T"K8J ~ rf5 I Sf) ~ ~ , FINAL~ _ VVtl f),.~(. 1~"'c.N- I GRA DING (Prior to Sodding) IV f) f 1, /0 - Cf- tJ 1 BUII.DINGT.p ~ ((./-ot( '''''5" ,t? ~-&-~ ELE :TRICAL PLU MBING HEAITlNG DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. 7> - ~ 7-<.... ) ~/) .t) q.. /6/ .,;.. - _._..,..,._...."......~--,-.,...~_...~----,_.._"... - -,-_..- FOR ALL INSPECTIONS (952) 447.9850 - QItrfifiraft of OOrrnpanr\! CITY OF PRIOR LAKE ~eparfment of ~uilMug Jlusputiou :tz(Final Permitted o Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use. For theial/owing: Use Classification SINGLE FAMITS BldJennil No. 04-0419 Occupancy Type R3 Type Construction. VN Zoning District RI Legal Description L6. BS. THE WILDS SOUTH Owner of Building Site Address 11 11 GROUSE CIRCLE N. W. /1 Z Contmctm's Name & AddressMITTELSTAEDT !allO~.. ? 520 1 51 ~T C.OURT . RO~EMOllNT 'iSOiL8 ROBERT D, HUTCHINS/?;! City Planner_ ".~ N RVE _ BuiklingOfficial. I' Date: ? -._ - 0 \ v Date: BURNSVILLE Heating & Air Conditioning, L.L.C. 12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005 Orslat Test Report for Job# lo<-l I;) Addres.c: 3\ \? GrzoV">E C,R. Citv-YRlot( u.i<.o Occupant ::" "- u '" "> Dale of Inslall 'C \ '1 . 0,-\ Type of HT. F/A x HW. Space HT Unit HT Other Make Lc t0~'" Model G5\M9. L\~ - aClo ();l Serial 5'10 "IcJ, os 8;) I Input Mooo e"v.H Pilot Type Pressure Input CFH Stack Temp HOT SURFACE IGNITOR 35 IWG C02 M 02 , [(, CO 7.2 g I 21f1{l..1C1 \ Date Tested q - Z - 0 </ Company BURNSVlLLE HEATING & AIR CONDITIONING Technician 0-0 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS -.J/l:!> 0,t...,~. (Lr PHONE NO. OWNER CONlR. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION .d" FINAL o SITE INSPECTION o PLUMBING Rl o MECH RI o WATER HOOKUP o SEWEll HOOKUP er""PLUMB1NG FINAL p-'MECH FINAL DATE TIME 1-1'i-o'( c.J-1.l~q o EXIGIlAOIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: I. J::....1~..,.u..; "'.~lO-OO'\ ~. Socl J. --r;."uS ~. ~ 6~".\:&L ~.l \~ ~ IJ_~ <t. W',,'~ 'U_.:-A ~ ~ t~ c",.rl \..~ fr,~~U..V{j;""""" \~~ ..-n....~ 7.cr~\'~ ~ (J.,",~ /) ~. - 1..2- at'" -....,.... , U=-! -oy o WORK SATISFACTORY, PIlOCEED Vat/I' ~r ~k.t-.( o 9'>RREC1J;ON AND PROCEED ...i1' CORREC WO \l.J:ALL ~OR R~INSPECT10N BEFORE COVERING Inspector: (/ I ( Owner/Contr: CALL \J.g 150 FOR~E NElC.T INSPECTION 24 HOURS IN ADVANCE. CODE REQUIR~~RE FOR YOUR PERSONAL HEALTH & SAFETY! / D<$NOn CITY OF PRIOR LAKE ~~TrME INSPECTION NOTICE SCHEDULED ADDRESS ~ l \ "S (\.....", ,.....e- OWNER CONTR. PHONE NO. PERMIT NO. c.)- 419' o FOOTING o PLUMBING RI o EXIGIlADlF1LLING o FOUNDATION o MECH RI o COMPLAINT o FIlAMING o WATER HOOKUP o FIREPLACE RI USULATION o SEWER HOOKUP o FIIlEPLACE FINAL IHAL o PLUMBING FINAL ~~ST o SITE INSPECTION o MECH FINAL COMMENTS: - ^ 1 In \;->\ 1_' ~~ 1-' Q ~ORK SATISFACTORY, PROCEED D CORRECT ACTION AND PROCEED D CORRf1i.CALL FOR REINSPECT10N BEFORE COVElllNG lnspecto . Owner/Contr: CA L 9 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. COD~IREMENTS ARE FOR YOUR PERSONAL HEALTH'( SAFETY/ INSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTiON NOTICE SCHEDULED PHONE NO. 3//3 (:"ou5e c/,e-!e.. rr?,'lIcl<:I<;(""'I. Otf- '11'7 CONTR. ADDRESS OWNER PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL o SITE INSPECTION o PLUM81NG Rl o MECH Rl o WATEIl HOOKUP o SEWEll HOOKUP o PLUM81NG FINAL o MECH FINAL ~~ILLlNG o CO~NT o FIREPLACE Rl o FIREPLACE FINAL o GASL1NE AIR TST o COMMENTS: 6ruJ~ -10 L /.u I~ !~Ji" -/ll' ( WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR RE1NSPECT10N 8EFORE COVERING Inspector:~~ _. Owner/Contr: CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ n<SNQn